A simplified method to evaluate the loss of domain

Autor: Arnaud Renard, Guillaume Passot, Carole Durot, Reza Kianmanesh, Aurore Thierry, Yohann Renard, Abdul Rahman Al Sadairi, Jules Durtette-Guzylack
Rok vydání: 2021
Předmět:
Zdroj: Hernia. 26:927-936
ISSN: 1248-9204
1265-4906
Popis: The treatment of giant incisional hernia (IH) with loss of domain (LOD, IHLD) is considerably challenging due to technical difficulties and subsequent post-operative complications. These post-operative risks may be anticipated by calculating the abdominal cavity (AC) volume (ACV) and the IH volume (IHV) on the preoperative CT-scans, using the AC and IH dimensions (Tanaka’s method) or using tridimensional volumetry (Sabbagh’s method). These techniques are often time-consuming and require specific softwares. The aim of the present study was to develop a simple method to rapidly obtain the LOD-ratio on the preoperative CT-Scan. The CT-scans (n = 89) of patients with IHLD were retrospectively studied. Several ratios were calculated using different parameters of the AC and the IH, including width, height and depth, the areas (axial and sagittal ellipse, as well as freehand sagittal surface areas) and these were compared with the reference methods of Sabbagh et al. and Tanaka et al. The LOD ratios calculated from the two reference methods gave similar results (ICC = 0.82, p
Databáze: OpenAIRE
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